家属参与早期心理干预对社区脑卒中偏瘫患者抑郁情绪的影响.pdfVIP

2013 年 3 月第 20 卷第 9 期 ·社区医疗· 家属参与早期心理于顶对社区脑卒中偏瘫患者 抑郁情绪的影响 汪雪琴 浙江省淳安县汾口镇社区卫生服务中心，浙江淳安 311719 [摘要]目的探讨家属参与早期心理干预对社区脑卒中偏瘫患者抑郁情绪的影响。方法总结43 例患者实施 家属参与早期心理干预的经验比较干预前后偏瘫肢体活动功能、日常生活活动能力 Barthd 指数和 HAMD 抑 郁程度评分情况。结果干预后患者偏瘫肢体活动功能、日常生活活动能力(Barthd 指数)显著高于干预前(P 0.05) ，且 HAMD 抑郁程度评分显著低于干预前(P 0.05) 。结论早期家属积极主动的配合对患者进行心理干 预，能有效降低患者抑郁测定，提高患者生活能力。 [关键词]家属参与;早期;心理干预:社区:偏瘫;抑郁 [中图分类号1 R473.2 [文献标识码1 C [文章编号11674-4721(2013)03(c)-0158-02 The effect of early families involved with early psychological intervention for depressive mood community stroke hemiplegic WANG Xueqin Fenkou Town Community Health Service Center of Chunan County in Zhejiang Province , Chunan 311719, China [Abstract] Objective To explore the effect of early families involved with early psychological intervention for depres- sive mood community stroke hemiplegic. Methods The families involved with early psychological intervention experi- ence with 43 cases were implementated , then the hemiplegic limb function , activities of daily living ability of Barthd index and HAMD depression score were compared before and after intervention. Results Activity in patients with hemiplegic limb function , daily life ability (Barthd index) were higher than before (P 0.0匀， the degree of HAMD score was lower than before (P 0.05). Conclusion Early families involved with early psychological intervention for depressive mood community stroke hemiplegic can effectively reduce the depression of patient and it can improve the living ability of the patients. [Key words) Family involvement; Early; Psychological intervention; Community; Hemiplegia; Depression 脑卒中后患者的神经功能缺失越严重，越容易导致抑